Inspection on 08/06/06 for Beechdale

This inspection was carried out on 8th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beechdale 28/01/10

Beechdale 13/09/07

Beechdale 06/12/05

Beechdale 21/09/05

Beechdale 13/01/05

Beechdale 10/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Beechdale 302 Golden Hill Lane Leyland Lancashire PR5 1YH Lead Inspector Val Turley Unannounced Inspection 8th June 2006 10:00 Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechdale Address 302 Golden Hill Lane Leyland Lancashire PR5 1YH 01772 452924 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dalesview Partnership Mrs Hayley Elizabeth Stringfellow Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 7 service users of the category LD - (Learning Disability). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 6th and 22nd December 2005 Date of last inspection Brief Description of the Service: Beechdale is a detached bungalow situated on a main road approximately 1 mile from the town of Leyland, which can be accessed via a well-served bus route. Accommodation comprises 7 bedrooms, 4 with ensuite facilities, a separate bathroom, lounge, dining room, and kitchen. There is an enclosed paved patio area to the rear of the home, which contains an outbuilding, of which one room is a laundry room and the second has been converted into a ‘lifestyle’ (sensory) room. Beechdale provides care for service users who require short-term admission to a care home. Payment for periods of respite care is made through respite care vouchers provided by the local authority. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection of a service takes place over a period of time and involves gathering and analysing written information. A site visit was also made to the home as part of the inspection process and this involved discussion with service users staying at the home, visiting relatives and also discussion with and observation of the staff working there, an examination of records, policies and procedures and a tour of the premises. A questionnaire was completed by the manager prior to the site visit and questionnaires were received from two service users and comment cards from two relatives. These all provided information that was included in the report. As part of the inspection, the inspector used “case tracking” as a means of assessing some of the National Minimum Standards. This process allowed the inspector to focus one of the service users staying at the home for a period of respite care. Records relating to that individual were inspected and discussion took place with the service users where possible. What the service does well: Beechdale provided a comfortable, clean and homely environment for the service users who stayed there and the support staff who work there. The building was well maintained and was a safe environment for the service users. The home undertook a full assessment of each service user before admission to the home. Care plans were detailed and outlined the way in which service users preferred to be supported in terms of their personal care, health and social needs, as well as how to manage any challenging behaviour. Service users were encouraged to make decisions for themselves as to how they would like to spend their time whilst staying at the home. The staff at the home had a good knowledge of the interests and hobbies of the service users and supported them to follow these. Many of the activities that the service users took part in, included making use of the local facilities. Staff included service users in any conversations and service users were relaxed in the presence of the staff team. The staff at the home placed an emphasis on the service users enjoying their stay at the home. The staff were well motivated and enthusiastic about their work. One of the service users’s said ‘I like staying here; I can listen to music and go out with the staff. Sometimes I like to stay in my own room’ and that staff ‘help me to get ready in the morning’ As the home provided respite care, there were limited opportunities for community health and social care professionals to become involved with the home. There was however documented evidence that the health needs of the service user were attended to and health and social care professionals were involved appropriately. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 6 The home was generally well managed and staff were provided with a range of training opportunities and felt well supported by the manager. The home was well staffed and the numbers on duty varied according to the needs of the service users. The home had a number of quality assurance processes in place to help ensure that the home ran efficiently and that the standard of care remained good. The home had reviewed and updated a number of key policies over the recent months ensuring that they contained up to date information and reflected best practice. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The pre-admission process is in sufficient detail to ensure that prospective service users supports needs are fully assessed before their first admission to the home for respite care, but could be improved for subsequent admissions. EVIDENCE: The file of a service user admitted to the home for respite care on the day of the inspection was examined. The home had followed its pre-admission procedures and had a range of information in place, which outlined the support needs of the service user, including their preferred routines and meal preferences. The staff were able to provide details of the work they had undertaken to ensure that the placement was successful. The parents of the service user were able to confirm that the home had worked hard before the first admission for a period of respite care, ensuring that they could provide the right sort of support. A requirement was made in respect of each period of respite care received by the service user. The home should contact families or carers prior to each admission, to ask if the service users support needs have changed in any way since the previous admission. This would enable the home to decide if they what resources they needed to put in place to provide appropriate support for the service user. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans for service users staying at the home for periods of respite care were detailed and outlined their individual support needs, enabling staff to provide a safe and supportive environment. EVIDENCE: The service users care plan examined provided clear details of the service users support needs and how these should be met by staff. There was a good working relationship between the home, the service user and the family. The service user was able to give the home information about their preferences and the family were happy to provide help and guidance if the home needed it. The care plan also included protocols for staff for managing any challenges that the service user may present. From observations on the day of the inspection and from discussions with two of the service users and the staff on duty, it was clear that the service users were given opportunities to make decisions as to how they would like to spend their time whilst staying at the home. The staff at the home had a good knowledge of the interests and hobbies of the service users and supported them to follow these. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff supported service users to enjoy their stay at the home by offering a flexible routine and supporting them to participate in a range of appropriate community-based activities that they had indicated a preference for. EVIDENCE: There was evidence that the staff at the home placed an emphasis on the service users enjoying their stay at the home. The file examined showed that the home was aware of the service users interests and hobbies. A record of activities that the service user was involved in during the stay at the home was maintained; these corresponded with the interests and hobbies recorded within the care plan. Information outlining the activities that the service users were involved during their stay at the home was sent home with the service user enabling them to discuss their stay with their full time carers. Many of the activities that the service users took part in, included making use of the local facilities. Staff were observed to include service users in any conversations and service users were relaxed in the presence of the staff team. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 11 The home had strong links with the service users families and friends. As the home provided respite care for service users, visits from family and friends during the period of care were not usual, although were a service user was resident at the home for a longer period of time, there was evidence that contact with families and friends was supported appropriately. Discussion between the staff and the service users indicated that the service user could make decisions about the routines in the home. They could move freely about the home subject to any health and safety restrictions, were able to spend time alone in their rooms if they wished or join in any activities that were organised. On the day of the inspection a newly admitted service user was encouraged to choose what they wanted for their evening meal. Service users were able to eat their meals were they chose and the staff aware of any cultural dietary needs or preferences of the service users. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support staff had a good knowledge of service users preferences and social, health and personal care needs and provided personal support sensitively and in accordance with their wishes. EVIDENCE: The care plan examined gave clear instructions to staff as to the preferred and specific support needs that the service user had. From observation of the staff with the service user, it was clear that the staff were aware of the service users preferences. As the home provided respite care, there were limited opportunities for community health and social care professionals to become involved with the home. There was however documented evidence that health and social care professionals were involved appropriately and this was confirmed by visiting relatives and one of the service users. The staff at the home were very aware of the emotional needs of the service user whilst they were resident at the home and ensured that these were met by supporting service users to make phone calls to family members etc. Since the last inspection, the Pharmacy Inspector had visited the home and had made some requirements and recommendations about the management and administration of medication the home. These had been acted upon and Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 13 the medication in the home appeared to be well managed. Not all of the service users had a photograph in place on the medication administration sheet although the manager was working towards this. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had some good policies and procedures in place in order to protect service users, although still had some work to do to ensure that service users were protected as far as possible. EVIDENCE: The home had comprehensive policies and procedures in place in respect of complaints and the protection of vulnerable adults. However from the comment cards received it would appear that not all families are aware of the homes complaints procedure. Questionnaires received from service users indicated that they did know who to approach if they were unhappy about anything in the home. Staff were aware of the action they must take should they become aware of any concerns regarding the health and well being of the service users. The homes staff recruitment policy needed to be reviewed and updated to help ensure that recruitment procedures were thorough and so help protect the vulnerable adults living at the home (See National Minimum Standard 34). Recruitment practices also needed to be improved to help ensure the protection of the service users. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Standard 28 was partly assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean and comfortable and although in need of some internal redecoration and some work to the rear of the home to ensure the safety of both the service users and the support staff, it provided a pleasant and homely environment for the service users. EVIDENCE: The home was comfortable, clean and homely and the building was in a good state of repair with any repairs being attended to quickly. There was a need for some redecoration around the home and the replacement of some carpets, but the manager stated that this was in hand and there was evidence that this work was being undertaken. The home had a pleasant enclosed patio area to the rear of the home. This also provided access to the sensory room and the laundry. The patio had an uneven surface and as such presented a hazard for anyone wishing to access these areas or wishing to spend time on the patio. This should be addressed to protect both the service users staying at the home and the staff working there. The laundry provided a clean and well-equipped area and was sufficient for the needs of the home. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff team at the home were well motivated and enthusiastic in their role. They were generally well supported although recruitment procedures needed to be improved and greater efforts need to be made to ensure all staff received mandatory training. EVIDENCE: The staff team were well motivated and enthusiastic about their work. Almost 50 of the homes work force had achieved a nationally recognised qualification in care giving them the skills necessary to give the service users the support that they needed. The home had a training matrix in place, which gave an overview of the training the staff team had undertaken and also highlighted any training needs that the staff team may have. There was a range of good training opportunities, including induction training, in place for the staff team. Training records were also kept on individual staff files. The majority of staff had undertaken all the required mandatory training but the manager must ensure that this is required of all staff to ensure that the staff team as a whole has the qualities and qualifications suitable to the work that they are to perform. Care should be taken to ensure that training records are signed and dated to help ensure that training is complete and can be updated appropriately. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 17 Staff rotas indicated that there were always enough staff on duty at any one time, but the rotas should make clear the capacity each member of staff is working in, helping to ensure that the skill mix of staff on duty at any one time can meet the individual and collective needs of the service users. The file of one recently recruited member of staff was examined. Not all of the necessary checks had been made, with one of the references missing Although the manager had an awareness of the procedures that must be followed when recruiting staff, it is essential that the home has robust procedures which are followed in order to protect service users. The homes recruitment policy needed to be reviewed and updated to reflect current good practice and should provide staff with clear guidance regarding the steps they must follow when recruiting staff. There was some confusion over the documentation used by the company in respect of recruitment, selection and appointment and the home should ensure that the documentation used is the most recent introduced by the company. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was generally well managed with the manager acting upon any requirements and recommendations. There was still some work that needed to be undertaken to ensure that the home provided a safe environment for the service users. EVIDENCE: The manager had been in post for a little over twelve months. She had the necessary qualifications to enable her to run the home and ensure that it met its stated purpose and objectives. There was evidence that she had also undertaken additional training to update her skills. During this period she had worked hard to improve the home and act upon any requirements and recommendations made during the inspection process. The staff team were clearly comfortable in her presence and asked for advice and guidance, as they needed to. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 19 The manager worked hard to ensure that the health, safety and welfare of the service users. The pre-inspection questionnaire provided completed by the manager, gave details of the homes maintenance record and this plus bookings made in the diary showed that the homes equipment and systems were appropriately serviced and maintained. Staff training in health and safety was provided both during the induction period and as mandatory training. As previously stated in relation to National Minimum Standard 35, the manager must ensure that all staff received this training, The home had a number of quality assurance processes in place. The home had received the Investors in People award, which is a quality assurance award accredited by an external body; the home had undertaken a survey of the service users views of the home and also those of any health and social care professionals involved in the home. The result of these had been included in newsletter published by the home. The manager made a number of checks around the home to ensure that the home ran efficiently and that appropriate care was provided. Policies and policies were in the process of being reviewed and updated. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14(1) Requirement The registered person shall not provide accommodation to a service user unless the needs of the service user have been assessed The external grounds of the home must be safe for use by the service users. The home must not employ staff unless the necessary checks have been made in respect of that person The homes staff recruitment policy must be reviewed and updated. Staff must receive training appropriate to the work they are to perform. Timescale for action 31/07/06 2 3 YA28 YA34 23(o) 19, Schedule 2 13(6) 18(1)(c) 31/10/06 31/07/06 4 5 YA34 YA23 YA35 YA42 31/07/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 22 1 2 3 4 5 6 YA20 YA22 YA32 YA33 YA34 YA35 A photograph of the service user should be attached to the medication administration sheet (MAR) sheet The home should ensure that service users representatives are aware of the homes complaints policy and procedure The home should continue to work towards having 50 of its work force achieve a nationally recognised qualification in care. The staff rotas should make it clear as to the capacity each member of staff on duty. Documentation used in respect of selection and recruitment should be the most recent introduced by the company. Staff training records should be signed and dated. Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beechdale DS0000005928.V290865.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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